SCORING SYSTEM FOR THE PREOPERATIVE EVALUATION OF METASTATIC SPINE TUMOR PROGNOSIS

被引：475

作者：

TOKUHASHI, Y

MATSUZAKI, H

TORIYAMA, S

KAWANO, H

OHSAKA, S

机构：

[1] Department of Orthopaedic Surgery, Nihon University, School of Medicine, Tokyo

来源：

SPINE | 1990年 / 15卷 / 11期

关键词：

Metastatic spine tumor; Prognosis evaluation system;

D O I：

10.1097/00007632-199011010-00005

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

An assessment system for the prognosis of metastatic spine tumors was evaluated for 64 cases who had under-gone surgery. Six parameters were employed in the as-sessment system: 1) the general condition, 2) the number of extraspinal bone metastases, 3) the number of me- tastases in the vertebral body, 4) metastases to the major internal organs (lungs, liver, kidneys, and brain), 5) the primary site of the cancer, and 6) the severity of spinal cord palsy. Each parameter ranged from 0 to 2 points. The total score obtained for each patient can be correlated with the prognosis, while being valuable in predicting it. However, the prognosis could not be predicted from a single parameter. In conclusion, an excisional operation should be performed on those cases who scored above 9 points, while a palliative operation is indicated for those who scored under 5 points. © Lippincott-Raven Publishers.

引用

页码：1110 / 1113

页数：4

共 8 条

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